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<head>
<meta http-equiv="Content-Type" content="text/html; charset={$charset}">
<title>Confirmation</title>
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<body>
必要な物資:{$data.req_content|escape}<br />
数量:{$data.req_amount|escape}<br />
届け先:
{$shelter->prefecture|escape}
{$shelter->area|escape}
{$shelter->city|escape}
{$shelter->district|escape}
{$shelter->name|escape}
<br />
届け先付加情報:{$data.addressee_notes|escape}<br />
緊急度:{$severity_opt|escape}<br />
コメント:{$data.notes|escape}<br />
<a href="/okute/request/finish">申請</a>
<a href="/okute/request/edit">戻る</a>
</body>
</html>